Others in their 20s show signs of serious liver damage and the older ones have accumulated damage to their bodies, including alcohol-induced dementia.

In the waiting room are two men visibly hung over and complaining of serious headaches. We are trained to never assume it’s a only hangover and they will be assessed for anything more sinister like a cerebral haemorrhage or tumour.

One has already argued with another patient, who he says tripped him up.

One of our emergency staff tells him to behave or the police will be called.

The bed shortage was worse during the recent icy spell when fractures soared as people fell on pavements, breaking bones in their feet, legs, arms and sustaining head injuries.

Judging by the list of patients waiting to be seen we have a heavy day ahead.